Randomized controlled trial of the "WISER" intervention to reduce healthcare worker burnout.

Autor: Profit J; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Adair KC; Department of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, NC, USA.; Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, USA., Cui X; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Mitchell B; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA., Brandon D; Duke University School of Nursing, Durham, USA.; Department of Pediatrics, Duke University School of Medicine, Durham, USA., Tawfik DS; Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA., Rigdon J; Department of Biostatistics and Data Science, Wake Forest School of Medicine, Winston-Salem, NC, USA., Gould JB; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Lee HC; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA.; California Perinatal Quality Care Collaborative, Palo Alto, CA, USA., Timpson WL; Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA, USA., McCaffrey MJ; Division of Neonatal-Perinatal Medicine, University of North Carolina Chapel Hill School of Medicine and University of North Carolina Children's Hospital, Chapel Hill, NC, USA., Davis AS; Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Packard Children's Hospital, Palo Alto, CA, USA., Pammi M; Section of Neonatology, Baylor College of Medicine and Texas Children's Hospital, Houston, TX, USA., Matthews M; Department of Pediatrics-Neonatology, The University of Texas Health Science Center and Children's Memorial Hermann Hospital, Houston, TX, USA., Stark AR; Department of Pediatrics, Division of Newborn Medicine, Harvard Medical School, Boston, MA, USA., Papile LA; Division of Neonatology, Department of Pediatrics, The University of New Mexico School of Medicine, Albuquerque, NM, USA., Thomas E; Department of Internal Medicine, The University of Texas Health Science Center and Memorial Hermann Medical Center, Houston, TX, USA., Cotten M; Division of Pediatrics-Neonatology, Duke University School of Medicine and Duke University Hospital, Durham, NC, USA., Khan A; Division of Neonatology, Department of Pediatrics, The University of New Mexico School of Medicine, Albuquerque, NM, USA., Sexton JB; Department of Psychiatry, Duke University School of Medicine, Duke University Health System, Durham, NC, USA. Bryan.Sexton@Duke.edu.; Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, USA. Bryan.Sexton@Duke.edu.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2021 Sep; Vol. 41 (9), pp. 2225-2234. Date of Electronic Publication: 2021 Aug 09.
DOI: 10.1038/s41372-021-01100-y
Abstrakt: Objective: Test web-based implementation for the science of enhancing resilience (WISER) intervention efficacy in reducing healthcare worker (HCW) burnout.
Design: RCT using two cohorts of HCWs of four NICUs each, to improve HCW well-being (primary outcome: burnout). Cohort 1 received WISER while Cohort 2 acted as a waitlist control.
Results: Cohorts were similar, mostly female (83%) and nurses (62%). In Cohorts 1 and 2 respectively, 182 and 299 initiated WISER, 100 and 176 completed 1-month follow-up, and 78 and 146 completed 6-month follow-up. Relative to control, WISER decreased burnout (-5.27 (95% CI: -10.44, -0.10), p = 0.046). Combined adjusted cohort results at 1-month showed that the percentage of HCWs reporting concerning outcomes was significantly decreased for burnout (-6.3% (95%CI: -11.6%, -1.0%); p = 0.008), and secondary outcomes depression (-5.2% (95%CI: -10.8, -0.4); p = 0.022) and work-life integration (-11.8% (95%CI: -17.9, -6.1); p < 0.001). Improvements endured at 6 months.
Conclusion: WISER appears to durably improve HCW well-being.
Clinical Trials Number: NCT02603133; https://clinicaltrials.gov/ct2/show/NCT02603133.
(© 2021. The Author(s).)
Databáze: MEDLINE
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